DAVID WILSON DELZELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WILSON

Last Name

DELZELL

Suffix

Business Name

DAVID WILSON DELZELL MD

Original Issue Date

02/14/2001

Effective Date

02/14/2001

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008